Hospital

CORONA REGIONAL MEDICAL CENTER

Corona, CA · CCN 050329 · Rates published

12,179 distinct procedures filed

31 distinct payers

530,788 rate rows

2026-05-13 last MRF observed

Data quality

519,926 of 530,788 rate rows are consumer-grade (98.0%)

10,862 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	8,544
per-diem day rate — not a per-procedure price	1,302
exceeds 10× this hospital's gross charge — excluded from medians	523
template filing: same amount across many unrelated codes — excluded	327
placeholder amount (≤ $0.02) — excluded from medians	166

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.conwayregional.org/docs/default-source/campaigns/710249735_conway-regional-medical-center_standardcharges-1
Found on page	https://www.conwayregional.org/patients-visitors/billing-insurance/estimate-my-cost
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-18
Content fingerprint	fb90190ca0de7cb6… · 20,178,148 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
9138 OTHER	Inj, Hemgenix, Per Tx Dose	14	$3,710,000.00	$4,155,200.00	$3,784,200.00	nat. median $3,746,358 1.0× median
773 OTHER	Inj, Beqvez, Per Tx Dose	14	$3,710,000.00	$4,155,200.00	$3,784,200.00	nat. median $3,605,000 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	14	$2,403,458.75	$2,691,873.80	$2,451,527.93	nat. median $2,588,981 0.9× median
9194 OTHER	Tisagenlecleucel Car-pos T	14	$565,623.84	$633,498.70	$576,936.32	nat. median $566,531 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	14	$551,318.34	$617,476.54	$562,344.71	nat. median $587,650 1.0× median
9422 OTHER	Idecabtagene Vicleucel Car	14	$528,312.43	$591,709.92	$538,878.68	nat. median $558,082 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	14	$516,485.97	$578,464.29	$526,815.69	nat. median $562,201 0.9× median
9035 OTHER	Axicabtagene Ciloleucel Car+	14	$489,517.15	$548,259.21	$499,307.49	nat. median $532,192 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	14	$488,051.51	$546,617.69	$497,812.54	nat. median $489,450 1.0× median
18 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	16	$390,851.71	$648,056.76	$400,623.01	nat. median $386,529 1.0× median
583-4 OTHER	Neonate With Ecmo	4	$309,665.45	$331,342.03	$319,884.41	nat. median $309,400 1.0× median
583-3 OTHER	Neonate With Ecmo	4	$269,678.49	$288,555.99	$278,577.88	nat. median $259,487 1.1× median
1 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	28	$140,841.50	$484,044.07	$263,390.65	nat. median $239,422 1.1× median
927 OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	16	$1.54	$407,652.60	$245,860.74	nat. median $146,562 1.7× median
588-4 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$230,970.69	$247,138.63	$238,592.72	nat. median $267,493 0.9× median
161-4 OTHER	Implantable Heart Assist Systems	4	$213,037.56	$227,950.19	$220,067.80	nat. median $202,242 1.1× median
002-4 OTHER	Heart And/or Lung Transplant	4	$206,386.58	$220,833.64	$213,197.33	nat. median $216,800 1.0× median
3 OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	28	$107,158.00	$396,904.65	$212,004.44	nat. median $181,005 1.2× median
583-2 OTHER	Neonate With Ecmo	4	$169,230.17	$181,076.28	$174,814.77	nat. median $191,347 0.9× median
161-3 OTHER	Implantable Heart Assist Systems	4	$161,433.16	$172,733.48	$166,760.45	nat. median $152,491 1.1× median
011-4 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	$160,319.16	$171,541.50	$165,609.69	nat. median $105,647 1.6× median
630-4 OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	$156,990.16	$167,979.48	$162,170.84	nat. median $210,669 0.8× median
841-4 OTHER	Extensive Third Degree Burns With Skin Graft	4	$153,007.58	$163,718.11	$158,056.83	nat. median $151,691 1.0× median
593-4 OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	$151,837.53	$162,466.16	$156,848.17	nat. median $151,250 1.0× median
1907 OTHER	New Technology - Level 52 ($145,001-$160,000)	14	$152,500.50	$170,800.56	$155,550.51	nat. median $153,199 1.0× median
1908 OTHER	New Technology - Level 52 ($145,001-$160,000)	14	$152,500.50	$170,800.56	$155,550.51	nat. median $152,962 1.0× median
591-4 OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	$150,323.17	$160,845.79	$155,283.83	nat. median $156,696 1.0× median
588-3 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$148,138.20	$158,507.88	$153,026.77	nat. median $165,000 0.9× median
631-4 OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	$147,676.79	$158,014.16	$152,550.12	nat. median $203,379 0.8× median
609-4 OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	$145,988.27	$156,207.45	$150,805.89	nat. median $169,856 0.9× median
588-2 OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	$144,198.66	$154,292.57	$148,957.22	nat. median $153,523 1.0× median
009-4 OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	$137,512.65	$147,138.54	$142,050.57	nat. median $150,954 0.9× median
583-1 OTHER	Neonate With Ecmo	4	$137,045.23	$146,638.40	$141,567.72	nat. median $171,226 0.8× median
1905 OTHER	New Technology - Level 51 ($130,001-$145,000)	14	$137,500.50	$154,000.56	$140,250.51	nat. median $137,903 1.0× median
1906 OTHER	New Technology - Level 51 ($130,001-$145,000)	14	$137,500.50	$154,000.56	$140,250.51	nat. median $138,020 1.0× median
4 OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	28	$70,650.00	$242,809.92	$139,776.09	nat. median $134,983 1.0× median
004-4 OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	$134,969.36	$144,417.22	$139,423.35	nat. median $110,000 1.3× median
14 OTHER	Allogeneic Bone Marrow Transplant	16	$135,785.75	$225,141.33	$139,180.40	nat. median $100,915 1.4× median
7 OTHER	Lung Transplant	16	$135,443.74	$224,574.26	$138,829.84	nat. median $169,933 0.8× median
007-4 OTHER	Allogeneic Bone Marrow Transplant	4	$133,615.15	$142,968.21	$138,024.45	nat. median $172,311 0.8× median
002-3 OTHER	Heart And/or Lung Transplant	4	$130,623.46	$139,767.10	$134,934.03	nat. median $133,471 1.0× median
001-4 OTHER	Liver Transplant And/or Intestinal Transplant	4	$129,535.48	$138,602.96	$133,810.15	nat. median $124,561 1.1× median
161-2 OTHER	Implantable Heart Assist Systems	4	$129,460.41	$138,522.64	$133,732.60	nat. median $109,992 1.2× median
161-1 OTHER	Implantable Heart Assist Systems	4	$123,134.72	$131,754.15	$127,198.17	nat. median $101,352 1.3× median
1903 OTHER	New Technology - Level 50 ($115,001-$130,000)	14	$122,500.50	$137,200.56	$124,950.51	nat. median $119,935 1.0× median
1904 OTHER	New Technology - Level 50 ($115,001-$130,000)	14	$122,500.50	$137,200.56	$124,950.51	nat. median $120,174 1.0× median
603-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	4	$113,900.42	$121,873.45	$117,659.13	nat. median $107,050 1.1× median
2 OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	16	$114,207.08	$189,362.52	$117,062.26	nat. median $111,558 1.0× median
602-4 OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	$109,563.52	$117,232.96	$113,179.11	nat. median $125,000 0.9× median
5 OTHER	Liver Transplant With Mcc Or Intestinal Transplant	16	$110,369.32	$182,999.29	$113,128.55	nat. median $94,894 1.2× median

Other procedures at this hospital

Browse this hospital's 12,179 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

791	OTHER	Prematurity With Major Problems	34	17	$105,732.82	$27,490.53 74% off	$0.09	$105,732.82	$42,076.40	2026-05-13
927	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	32	16	—	—	$1.54	$407,652.60	$245,860.74	2026-05-13
928	OTHER	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	32	16	—	—	$1.66	$114,770.22	$69,219.46	2026-05-13
793	OTHER	Full Term Neonate With Major Problems	34	17	$16,285.39	$4,234.20 74% off	$2.02	$71,665.87	$43,222.65	2026-05-13
901	OTHER	Wound Debridements For Injuries With Mcc	32	16	—	—	$5.09	$76,133.71	$45,917.26	2026-05-13
799	OTHER	Splenic Procedures With Mcc	32	16	—	—	$7.69	$81,706.48	$49,278.27	2026-05-13
739	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…	32	16	—	—	$13.03	$68,407.79	$41,257.65	2026-05-13
820	OTHER	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	32	16	—	—	$23.52	$100,050.40	$60,341.74	2026-05-13
736	OTHER	Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc	32	16	—	—	$23.98	$67,663.72	$40,808.90	2026-05-13
904	OTHER	Skin Grafts For Injuries With Cc/mcc	33	18	$528.00	$211.00 60% off	$80.04	$66,349.14	$40,016.06	2026-05-13
826	OTHER	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	32	16	—	—	$87.14	$82,062.19	$49,492.81	2026-05-13
834	OTHER	Acute Leukemia With Mcc	54	28	$91,641.38	$23,826.76 74% off	$128.07	$94,981.12	$44,218.40	2026-05-13
90288	OTHER	Botulinum Human Antitoxin For Infusion Into Vein	2	2	—	—	$499.80	$105,348.91	$52,924.36	2026-05-13
53445	OTHER	Insertion Of Inflatable Urethral/bladder Neck Sphincter, Including Placement Of …	32	22	$64,240.03	$16,702.41 74% off	$634.03	$41,321.39	$41,321.39	2026-05-13
33249	OTHER	Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra…	44	28	$90,997.79	$23,659.43 74% off	$895.01	$87,699.60	$51,158.10	2026-05-13
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	35	26	$2,565.96	$667.15 74% off	$1,578.07	$132,961.20	$80,190.68	2026-05-13
212	OTHER	Concomitant Aortic And Mitral Valve Procedures	33	25	$3,910.26	$1,016.67 74% off	$2,404.81	$187,200.78	$112,903.30	2026-05-13
C1882	OTHER	Defib Promote Rf 3207 Jude	324	21	$88,668.00	$35,467.00 60% off	$3,668.00	$295,675.20	$41,868.00	2026-05-13
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	30	$243,647.57	$63,348.37 74% off	$3,900.00	$165,844.50	$86,300.14	2026-05-13
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	22	17	—	—	$3,900.00	$134,317.02	$82,628.56	2026-05-13
232	OTHER	Coronary Bypass With Ptca Without Mcc	22	17	—	—	$3,900.00	$104,971.90	$64,576.16	2026-05-13
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	22	17	—	—	$3,900.00	$102,232.77	$62,891.11	2026-05-13
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	22	17	—	—	$3,900.00	$101,114.09	$62,202.93	2026-05-13
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	22	17	—	—	$3,900.00	$91,422.32	$56,240.78	2026-05-13
220	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	17	—	—	$3,900.00	$91,018.49	$55,992.36	2026-05-13
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	46	30	$75,302.07	$19,578.54 74% off	$3,900.00	$110,972.55	$55,102.03	2026-05-13
221	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	22	17	—	—	$3,900.00	$78,919.24	$48,549.20	2026-05-13
228	OTHER	Other Cardiothoracic Procedures With Mcc	46	30	$107,196.62	$27,871.12 74% off	$3,900.00	$85,633.03	$46,596.87	2026-05-13
236	OTHER	Coronary Bypass Without Cardiac Catheterization Without Mcc	22	17	—	—	$3,900.00	$70,662.33	$43,469.74	2026-05-13
245	OTHER	Aicd Generator Procedures	20	17	—	—	$6,240.00	$83,974.77	$51,659.24	2026-05-13
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	21	17	—	—	$7,534.00	$105,453.05	$64,872.15	2026-05-13
466	OTHER	Revision Of Hip Or Knee Replacement With Mcc	21	17	—	—	$7,534.00	$87,545.61	$53,855.93	2026-05-13
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	21	17	—	—	$7,968.00	$145,534.73	$89,529.43	2026-05-13
28	OTHER	Spinal Procedures With Mcc	39	27	$31,121.13	$8,091.49 74% off	$7,968.00	$104,470.13	$57,039.15	2026-05-13
457	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	43	29	$119,750.01	$31,135.00 74% off	$7,968.00	$98,625.85	$54,067.12	2026-05-13
458	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	21	17	—	—	$7,968.00	$74,200.51	$45,646.35	2026-05-13
269	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	41	27	$123,860.84	$32,203.82 74% off	$17,483.00	$71,497.47	$38,773.56	2026-05-13
907	OTHER	Other O.r. Procedures For Injuries With Mcc	40	28	$87,740.49	$22,812.53 74% off	$19,918.50	$68,455.90	$39,407.61	2026-05-13
448	OTHER	Multiple Level Spinal Fusion Except Cervical Without Mcc	40	28	$36,776.09	$9,561.78 74% off	$20,417.50	$70,170.86	$38,183.19	2026-05-13
958	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Cc	38	27	$106,023.25	$27,566.04 74% off	$20,549.00	$70,622.80	$38,637.31	2026-05-13
673	OTHER	Other Kidney And Urinary Tract Procedures With Mcc	40	28	$67,497.91	$17,549.46 74% off	$20,948.00	$71,994.09	$39,175.29	2026-05-13
323	OTHER	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	38	27	$85,100.31	$22,126.08 74% off	$21,297.00	$73,193.53	$40,044.25	2026-05-13
356	OTHER	Other Digestive System O.r. Procedures With Mcc	40	28	$102,679.13	$26,696.57 74% off	$21,328.50	$73,301.79	$42,196.81	2026-05-13
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	40	28	$37,829.25	$9,835.60 74% off	$22,423.50	$77,065.08	$41,934.66	2026-05-13
329	OTHER	Major Small And Large Bowel Procedures With Mcc	40	28	$62,607.00	$16,277.82 74% off	$22,959.50	$78,907.21	$42,937.04	2026-05-13
163	OTHER	Major Chest Procedures With Mcc	38	27	$133,552.78	$34,723.72 74% off	$23,046.00	$79,204.49	$43,332.46	2026-05-13
823	OTHER	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	40	28	$113,751.21	$29,575.31 74% off	$23,397.50	$80,412.53	$46,290.31	2026-05-13
981	OTHER	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	40	28	$86,713.21	$22,545.43 74% off	$23,769.50	$81,691.02	$46,715.43	2026-05-13
853	OTHER	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	40	28	$120,596.14	$31,355.00 74% off	$25,006.50	$85,942.34	$49,476.06	2026-05-13
239	OTHER	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	40	28	$91,827.33	$23,875.11 74% off	$25,184.50	$86,554.09	$49,323.27	2026-05-13
326	OTHER	Stomach, Esophageal And Duodenal Procedures With Mcc	38	27	$313,095.31	$81,404.78 74% off	$25,395.00	$87,277.54	$47,749.33	2026-05-13
463	OTHER	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	40	28	$124,969.31	$32,492.02 74% off	$27,005.00	$92,810.78	$53,427.71	2026-05-13
428	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	40	28	$66,604.00	$17,317.04 74% off	$27,520.50	$94,582.45	$51,466.67	2026-05-13
268	OTHER	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	20	16	—	—	$28,463.00	$114,576.04	$70,484.39	2026-05-13
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	40	28	$236,516.03	$61,494.17 74% off	$32,336.00	$132,128.52	$63,978.81	2026-05-13
870	OTHER	Septicemia Or Severe Sepsis With Mv >96 Hours	40	28	$165,745.28	$43,093.77 74% off	$34,782.50	$119,540.50	$68,816.83	2026-05-13
163-2	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$36,921.20	$39,505.68	$38,139.60	2026-05-13
175-4	OTHER	Percutaneous Cardiac Intervention Without Ami	4	4	—	—	$36,922.20	$39,506.75	$38,140.63	2026-05-13
182-4	OTHER	Other Peripheral Vascular And Related Procedures	4	4	—	—	$37,075.34	$39,670.61	$38,298.82	2026-05-13
651-4	OTHER	Other Procedures Of Blood And Blood-forming Organs	4	4	—	—	$37,234.48	$39,840.89	$38,463.22	2026-05-13
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	40	28	$137,063.36	$35,636.47 74% off	$37,321.00	$128,264.81	$73,836.88	2026-05-13
512-4	OTHER	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	4	4	—	—	$37,337.57	$39,951.20	$38,569.71	2026-05-13
710-4	OTHER	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	4	4	—	—	$37,354.59	$39,969.41	$38,587.29	2026-05-13
404-4	OTHER	Thyroid, Parathyroid And Thyroglossal Procedures	4	4	—	—	$37,407.64	$40,026.17	$38,642.09	2026-05-13
405-4	OTHER	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	4	4	—	—	$37,545.76	$40,173.96	$38,784.78	2026-05-13
613-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	4	4	—	—	$37,758.95	$40,402.08	$39,004.99	2026-05-13
94	OTHER	Bacterial And Tuberculous Infections Of Nervous System With Mcc	18	16	—	—	$37,814.76	$62,699.26	$38,760.13	2026-05-13
264-4	OTHER	Other Hepatobiliary, Pancreas And Abdominal Procedures	4	4	—	—	$37,949.12	$40,605.56	$39,201.44	2026-05-13
162-1	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$38,173.33	$40,845.46	$39,433.04	2026-05-13
325-4	OTHER	Non-elective Or Complex Knee Joint Replacement	4	4	—	—	$38,198.35	$40,872.23	$39,458.89	2026-05-13
170-4	OTHER	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	4	4	—	—	$38,304.44	$40,985.75	$39,568.49	2026-05-13
030-4	OTHER	Percutaneous Intracranial And Extracranial Vascular Procedures	4	4	—	—	$38,535.65	$41,233.15	$39,807.32	2026-05-13
440-1	OTHER	Kidney Transplant	4	4	—	—	$38,573.69	$41,273.84	$39,846.62	2026-05-13
611-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	4	4	—	—	$38,755.85	$41,468.76	$40,034.79	2026-05-13
622	OTHER	Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…	18	16	—	—	$38,781.72	$64,302.53	$39,751.26	2026-05-13
165-2	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$38,864.95	$41,585.49	$40,147.49	2026-05-13
008-3	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$38,867.95	$41,588.71	$40,150.60	2026-05-13
166-3	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	4	4	—	—	$38,970.04	$41,697.94	$40,256.05	2026-05-13
612-3	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$39,049.11	$41,782.55	$40,337.73	2026-05-13
167-3	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	4	4	—	—	$39,311.35	$42,063.14	$40,608.62	2026-05-13
232-4	OTHER	Gastric Fundoplication	4	4	—	—	$39,323.36	$42,075.99	$40,621.03	2026-05-13
24	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	18	16	—	—	$39,400.44	$65,328.41	$40,385.45	2026-05-13
121-4	OTHER	Other Respiratory And Chest Procedures	4	4	—	—	$39,533.55	$42,300.90	$40,838.15	2026-05-13
304-3	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	4	4	—	—	$39,875.86	$42,667.17	$41,191.76	2026-05-13
589-2	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	4	4	—	—	$40,022.99	$42,824.60	$41,343.75	2026-05-13
092-4	OTHER	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	4	4	—	—	$40,213.16	$43,028.08	$41,540.19	2026-05-13
183-3	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$40,327.26	$43,150.17	$41,658.07	2026-05-13
511-4	OTHER	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	4	4	—	—	$40,339.27	$43,163.02	$41,670.47	2026-05-13
179-3	OTHER	Defibrillator Implants	4	4	—	—	$40,380.31	$43,206.93	$41,712.86	2026-05-13
321-4	OTHER	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	4	4	—	—	$40,495.41	$43,330.09	$41,831.76	2026-05-13
273	OTHER	Percutaneous And Other Intracardiac Procedures With Mcc	18	16	—	—	$40,525.96	$67,194.60	$41,539.11	2026-05-13
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	18	16	—	—	$40,725.98	$67,526.25	$41,744.13	2026-05-13
230-4	OTHER	Major Small Bowel Procedures	4	4	—	—	$40,754.65	$43,607.47	$42,099.55	2026-05-13
792-4	OTHER	Extensive O.r. Procedures For Other Complications Of Treatment	4	4	—	—	$41,146.00	$44,026.22	$42,503.82	2026-05-13
695-4	OTHER	Chemotherapy For Acute Leukemia	4	4	—	—	$41,356.19	$44,251.12	$42,720.94	2026-05-13
630-2	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$41,490.31	$44,394.63	$42,859.49	2026-05-13
303-2	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$41,862.64	$44,793.03	$43,244.11	2026-05-13
178-1	OTHER	External Heart Assist Systems	4	4	—	—	$41,988.76	$44,927.97	$43,374.38	2026-05-13
004-1	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$42,036.80	$44,979.38	$43,424.01	2026-05-13
510-4	OTHER	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	4	4	—	—	$42,072.83	$45,017.93	$43,461.24	2026-05-13
12	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	18	16	—	—	$42,530.34	$70,517.98	$43,593.60	2026-05-13
401-4	OTHER	Adrenal Procedures	4	4	—	—	$42,748.44	$45,740.83	$44,159.14	2026-05-13
176-4	OTHER	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	4	4	—	—	$42,891.57	$45,893.98	$44,306.99	2026-05-13
440-2	OTHER	Kidney Transplant	4	4	—	—	$43,019.68	$46,031.06	$44,439.33	2026-05-13
740-4	OTHER	Mental Illness Diagnosis With O.r. Procedure	4	4	—	—	$43,255.90	$46,283.81	$44,683.34	2026-05-13
181-4	OTHER	Lower Extremity Arterial Procedures	4	4	—	—	$43,342.97	$46,376.98	$44,773.29	2026-05-13
31	OTHER	Ventricular Shunt Procedures With Mcc	18	16	—	—	$43,430.96	$72,011.27	$44,516.74	2026-05-13
005-2	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$43,531.14	$46,578.32	$44,967.68	2026-05-13
261-4	OTHER	Major Biliary Tract Procedures	4	4	—	—	$43,736.33	$46,797.87	$45,179.62	2026-05-13
140	OTHER	Major Head And Neck Procedures With Mcc	18	16	—	—	$43,831.01	$72,674.57	$44,926.79	2026-05-13
162-2	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$43,960.53	$47,037.77	$45,411.22	2026-05-13
614-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	4	4	—	—	$44,074.63	$47,159.86	$45,529.09	2026-05-13
027-4	OTHER	Other Open Craniotomy	4	4	—	—	$44,581.09	$47,701.76	$46,052.26	2026-05-13
933	OTHER	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	18	16	—	—	$44,843.56	$74,353.45	$45,964.65	2026-05-13
1580	OTHER	New Technology - Level 43 ($40,001-$50,000)	14	14	—	—	$45,000.50	$50,400.56	$45,900.51	2026-05-13
1594	OTHER	New Technology - Level 43 ($40,001-$50,000)	14	14	—	—	$45,000.50	$50,400.56	$45,900.51	2026-05-13
1142	OTHER	Supprelin La Implant	14	14	—	—	$45,261.80	$50,693.21	$46,167.03	2026-05-13
608-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	4	4	—	—	$45,476.89	$48,660.27	$46,977.63	2026-05-13
319	OTHER	Other Endovascular Cardiac Valve Procedures With Mcc	18	16	—	—	$45,526.54	$75,485.88	$46,664.71	2026-05-13
160-3	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$45,882.26	$49,094.01	$47,396.37	2026-05-13
178-2	OTHER	External Heart Assist Systems	4	4	—	—	$45,929.30	$49,144.35	$47,444.97	2026-05-13
130-4	OTHER	Respiratory System Diagnosis With Ventilator Support > 96 Hours	4	4	—	—	$46,004.37	$49,224.67	$47,522.51	2026-05-13
163-3	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$46,299.63	$49,540.61	$47,827.52	2026-05-13
25	OTHER	Craniotomy And Endovascular Intracranial Procedures With Mcc	18	16	—	—	$46,350.47	$76,852.00	$47,509.24	2026-05-13
608-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	4	4	—	—	$46,513.82	$49,769.79	$48,048.78	2026-05-13
441-4	OTHER	Major Bladder Procedures	4	4	—	—	$46,514.83	$49,770.86	$48,049.82	2026-05-13
607-2	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$46,627.93	$49,891.88	$48,166.65	2026-05-13
361-4	OTHER	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	4	4	—	—	$46,650.95	$49,916.51	$48,190.43	2026-05-13
165-3	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$46,725.01	$49,995.77	$48,266.94	2026-05-13
020-4	OTHER	Open Craniotomy For Trauma	4	4	—	—	$47,233.47	$50,539.81	$48,792.18	2026-05-13
950-4	OTHER	Extensive O.r. Procedure Unrelated To Principal Diagnosis	4	4	—	—	$47,240.48	$50,547.31	$48,799.42	2026-05-13
312-4	OTHER	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	4	4	—	—	$47,271.51	$50,580.51	$48,831.47	2026-05-13
089-4	OTHER	Major Cranial Or Facial Bone Procedures	4	4	—	—	$47,417.64	$50,736.87	$48,982.42	2026-05-13
633-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Anomaly	4	4	—	—	$47,478.69	$50,802.20	$49,045.49	2026-05-13
007-1	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$47,581.79	$50,912.51	$49,151.99	2026-05-13
650	OTHER	Kidney Transplant With Hemodialysis With Mcc	18	16	—	—	$47,749.60	$79,171.84	$48,943.34	2026-05-13
260-4	OTHER	Major Pancreas, Liver And Shunt Procedures	4	4	—	—	$48,072.23	$51,437.28	$49,658.61	2026-05-13
690-4	OTHER	Acute Leukemia	4	4	—	—	$48,081.23	$51,446.92	$49,667.92	2026-05-13
277	OTHER	Cardiac Defibrillator Implant Without Mcc	18	16	—	—	$48,211.83	$79,938.25	$49,417.12	2026-05-13
631-3	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	4	—	—	$48,430.55	$51,820.69	$50,028.76	2026-05-13
220-4	OTHER	Major Stomach, Esophageal And Duodenal Procedures	4	4	—	—	$48,435.55	$51,826.04	$50,033.93	2026-05-13
681-4	OTHER	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	4	4	—	—	$48,450.57	$51,842.11	$50,049.43	2026-05-13
267	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	18	16	—	—	$48,759.04	$80,845.56	$49,978.01	2026-05-13
440-3	OTHER	Kidney Transplant	4	4	—	—	$48,930.00	$52,355.10	$50,544.69	2026-05-13
455	OTHER	Combined Anterior And Posterio	1	1	$32,488.65	$8,447.05 74% off	$48,939.85	$48,939.85	$48,939.85	2026-05-09
120-4	OTHER	Major Respiratory And Chest Procedures	4	4	—	—	$49,323.35	$52,775.99	$50,951.03	2026-05-13
023-4	OTHER	Spinal Procedures	4	4	—	—	$50,012.97	$53,513.88	$51,663.40	2026-05-13
6	OTHER	Liver Transplant Without Mcc	18	16	—	—	$50,256.63	$83,328.65	$51,513.04	2026-05-13
021-4	OTHER	Open Craniotomy Except Trauma	4	4	—	—	$50,285.22	$53,805.18	$51,944.63	2026-05-13
841-3	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$50,296.23	$53,816.96	$51,956.00	2026-05-13
621-4	OTHER	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	4	4	—	—	$50,453.37	$53,985.10	$52,118.32	2026-05-13
169-4	OTHER	Major Abdominal Vascular Procedures	4	4	—	—	$51,367.19	$54,962.89	$53,062.31	2026-05-13
911-4	OTHER	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	4	4	—	—	$51,481.29	$55,084.98	$53,180.18	2026-05-13
912-4	OTHER	Musculoskeletal And Other Procedures For Multiple Significant Trauma	4	4	—	—	$51,543.35	$55,151.38	$53,244.27	2026-05-13
178-3	OTHER	External Heart Assist Systems	4	4	—	—	$51,747.53	$55,369.86	$53,455.20	2026-05-13
837	OTHER	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	18	16	—	—	$51,894.12	$86,043.72	$53,191.48	2026-05-13
613-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	4	4	—	—	$52,627.32	$56,311.23	$54,364.03	2026-05-13
215	OTHER	Other Heart Assist System Implant	42	29	$59,992.80	$15,598.13 74% off	$52,974.00	$182,061.04	$99,067.79	2026-05-13
850-4	OTHER	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	4	4	—	—	$53,958.52	$57,735.62	$55,739.15	2026-05-13
589-1	OTHER	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	4	4	—	—	$54,955.42	$58,802.29	$56,768.94	2026-05-13
603-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	4	4	—	—	$54,999.46	$58,849.42	$56,814.43	2026-05-13
1581	OTHER	New Technology - Level 44 ($50,001-$60,000)	14	14	—	—	$55,000.50	$61,600.56	$56,100.51	2026-05-13
1595	OTHER	New Technology - Level 44 ($50,001-$60,000)	14	14	—	—	$55,000.50	$61,600.56	$56,100.51	2026-05-13
9273	OTHER	Sipuleucel-t Auto Cd54+	14	14	—	—	$55,536.50	$62,200.88	$56,647.23	2026-05-13
006-1	OTHER	Pancreas Transplant	4	4	—	—	$55,755.13	$59,657.99	$57,595.06	2026-05-13
091-4	OTHER	Other Major Head And Neck Procedures	4	4	—	—	$55,890.26	$59,802.57	$57,734.63	2026-05-13
001-1	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$55,905.47	$58,645.93	$57,166.09	2026-05-13
576	OTHER	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	18	16	—	—	$55,916.35	$92,712.84	$57,314.26	2026-05-13
11	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	18	16	—	—	$55,922.57	$92,723.15	$57,320.63	2026-05-13
405	OTHER	Pancreas, Liver And Shunt Procedures With Mcc	18	16	—	—	$56,262.51	$93,286.78	$57,669.07	2026-05-13
162-3	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$56,264.59	$60,203.11	$58,121.32	2026-05-13
8	OTHER	Simultaneous Pancreas And Kidney Transplant	18	16	—	—	$56,391.02	$93,499.86	$57,800.79	2026-05-13
680-4	OTHER	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	4	4	—	—	$56,539.84	$60,497.63	$58,405.65	2026-05-13
1643	OTHER	Y90 Ibritumomab, Rx	14	14	—	—	$56,824.55	$63,643.49	$57,961.04	2026-05-13
21	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	18	16	—	—	$57,284.39	$94,981.12	$58,716.50	2026-05-13
166-4	OTHER	Coronary Bypass Without Ami Or Complex Principal Diagnosis	4	4	—	—	$57,307.53	$61,319.06	$59,198.68	2026-05-13
J7330	OTHER	Autologous Cultured Chondrocytes, Implant	13	11	$136,900.73	$35,594.19 74% off	$57,477.20	$84,193.95	$84,193.95	2026-05-09
303-3	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$57,689.87	$61,728.17	$59,593.64	2026-05-13
910-4	OTHER	Craniotomy For Multiple Significant Trauma	4	4	—	—	$57,768.95	$61,812.77	$59,675.32	2026-05-13
653	OTHER	Major Bladder Procedures With Mcc	18	16	—	—	$57,774.60	$95,793.93	$59,218.96	2026-05-13
179-4	OTHER	Defibrillator Implants	4	4	—	—	$57,855.02	$61,904.87	$59,764.24	2026-05-13
004-2	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$58,078.22	$62,143.70	$59,994.81	2026-05-13
591-2	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$58,175.31	$62,247.58	$60,095.10	2026-05-13
23	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	18	16	—	—	$59,127.09	$98,036.44	$60,605.26	2026-05-13
5244	OTHER	Level 4 Blood Product Exchange And Related Services	14	14	—	—	$59,142.33	$66,239.41	$60,325.18	2026-05-13
007-2	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$60,331.25	$64,554.44	$62,322.18	2026-05-13
183-4	OTHER	Percutaneous Structural Cardiac Procedures	4	4	—	—	$60,375.29	$64,601.56	$62,367.67	2026-05-13
304-4	OTHER	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	4	4	—	—	$61,288.11	$65,578.28	$63,310.62	2026-05-13
001-2	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$61,493.29	$65,797.82	$63,522.57	2026-05-13
011-2	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$61,532.33	$65,839.59	$63,562.90	2026-05-13
266	OTHER	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	18	16	—	—	$62,088.06	$102,945.91	$63,640.26	2026-05-13
612-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$62,089.83	$66,436.12	$64,138.79	2026-05-13
009-3	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$62,271.99	$66,631.03	$64,326.97	2026-05-13
17	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	18	16	—	—	$62,555.47	$103,720.91	$64,119.35	2026-05-13
16	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	18	16	—	—	$62,555.47	$103,720.91	$64,119.35	2026-05-13
609-3	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$63,675.26	$68,132.52	$65,776.54	2026-05-13
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	18	16	—	—	$63,822.97	$105,822.51	$65,418.54	2026-05-13
607-3	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$64,091.63	$68,578.04	$66,206.65	2026-05-13
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	18	16	—	—	$64,115.24	$106,307.10	$65,718.12	2026-05-13
602-2	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$64,209.74	$68,704.42	$66,328.65	2026-05-13
611-4	OTHER	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	4	4	—	—	$64,596.08	$69,117.81	$66,727.76	2026-05-13
008-4	OTHER	Autologous Bone Marrow Transplant	4	4	—	—	$64,857.32	$69,397.33	$66,997.61	2026-05-13
167-4	OTHER	Other Cardiothoracic And Thoracic Vascular Procedures	4	4	—	—	$64,981.43	$69,530.13	$67,125.82	2026-05-13
1582	OTHER	New Technology - Level 45 ($60,001-$70,000)	14	14	—	—	$65,000.50	$72,800.56	$66,300.51	2026-05-13
1596	OTHER	New Technology - Level 45 ($60,001-$70,000)	14	14	—	—	$65,000.50	$72,800.56	$66,300.51	2026-05-13
165-4	OTHER	Coronary Bypass With Ami Or Complex Principal Diagnosis	4	4	—	—	$65,102.54	$69,659.72	$67,250.92	2026-05-13
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	18	16	—	—	$65,544.42	$108,676.77	$67,183.03	2026-05-13
005-3	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$65,623.01	$70,216.62	$67,788.57	2026-05-13
006-2	OTHER	Pancreas Transplant	4	4	—	—	$67,118.35	$71,816.64	$69,333.26	2026-05-13
178-4	OTHER	External Heart Assist Systems	4	4	—	—	$67,532.72	$72,260.02	$69,761.30	2026-05-13
863-4	OTHER	Neonatal Aftercare	4	4	—	—	$67,843.00	$72,592.01	$70,081.82	2026-05-13
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	18	16	—	—	$69,486.84	$115,213.56	$71,224.01	2026-05-13
163-4	OTHER	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	4	4	—	—	$70,285.20	$75,205.16	$72,604.61	2026-05-13
4	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	40	28	$426,038.54	$110,770.02 74% off	$70,650.00	$242,809.92	$139,776.09	2026-05-13
955	OTHER	Craniotomy For Multiple Significant Trauma	18	16	—	—	$70,767.82	$117,337.51	$72,537.02	2026-05-13
851-4	OTHER	Gender Related Procedures	4	4	—	—	$73,525.11	$78,671.87	$75,951.45	2026-05-13
427	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	18	16	—	—	$73,611.68	$122,052.80	$75,451.97	2026-05-13
001-3	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$73,704.27	$78,863.57	$76,136.51	2026-05-13
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	14	14	—	—	$75,000.50	$84,000.56	$76,500.51	2026-05-13
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	14	14	—	—	$75,000.50	$84,000.56	$76,500.51	2026-05-13
007-3	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$76,591.87	$81,953.30	$79,119.40	2026-05-13
002-1	OTHER	Heart And/or Lung Transplant	4	4	—	—	$77,288.50	$82,698.69	$79,839.02	2026-05-13
440-4	OTHER	Kidney Transplant	4	4	—	—	$78,303.41	$83,784.65	$80,887.42	2026-05-13
593-2	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$79,519.50	$85,085.87	$82,143.64	2026-05-13
006-3	OTHER	Pancreas Transplant	4	4	—	—	$81,709.47	$87,429.14	$84,405.89	2026-05-13
19	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	18	16	—	—	$82,157.75	$136,222.72	$84,211.69	2026-05-13
10	OTHER	Pancreas Transplant	18	16	—	—	$82,631.38	$137,008.03	$84,697.17	2026-05-13
602-3	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$82,767.42	$88,561.14	$85,498.75	2026-05-13
162-4	OTHER	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	4	4	—	—	$83,071.70	$88,886.72	$85,813.07	2026-05-13
842-4	OTHER	Burns With Skin Graft Except Extensive Third Degree Burns	4	4	—	—	$83,517.10	$89,363.29	$86,273.16	2026-05-13
20	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	18	16	—	—	$83,544.44	$138,521.94	$85,633.05	2026-05-13
303-4	OTHER	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	4	4	—	—	$84,379.87	$90,286.46	$87,164.41	2026-05-13
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	14	14	—	—	$85,000.50	$95,200.56	$86,700.51	2026-05-13
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	14	14	—	—	$85,000.50	$95,200.56	$86,700.51	2026-05-13
630-3	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$85,041.47	$90,994.37	$87,847.84	2026-05-13
607-4	OTHER	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$85,169.58	$91,131.45	$87,980.18	2026-05-13
011-3	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$86,144.46	$92,174.57	$88,987.23	2026-05-13
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	18	16	—	—	$86,441.15	$143,324.87	$88,602.18	2026-05-13
004-3	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$89,206.21	$95,450.65	$92,150.02	2026-05-13
005-4	OTHER	Tracheostomy With Mv >96 Hours Without Extensive Procedure	4	4	—	—	$92,671.33	$99,158.32	$95,729.49	2026-05-13
002-2	OTHER	Heart And/or Lung Transplant	4	4	—	—	$94,013.54	$100,594.48	$97,115.99	2026-05-13
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	14	14	—	—	$95,000.50	$106,400.56	$96,900.51	2026-05-13
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	14	14	—	—	$95,000.50	$106,400.56	$96,900.51	2026-05-13
850	OTHER	Acute Leukemia With Other Procedures	18	16	—	—	$95,471.22	$158,297.29	$97,857.99	2026-05-13
588-1	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$95,908.24	$102,621.82	$99,073.21	2026-05-13
160-4	OTHER	Major Cardiothoracic Repair Of Heart Anomaly	4	4	—	—	$97,139.35	$103,939.10	$100,344.95	2026-05-13
591-3	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$98,416.50	$105,305.65	$101,664.24	2026-05-13
593-3	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$102,271.96	$109,431.00	$105,646.93	2026-05-13
006-4	OTHER	Pancreas Transplant	4	4	—	—	$103,208.80	$110,433.42	$106,614.70	2026-05-13
3	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	40	28	$729,080.29	$189,560.88 74% off	$107,158.00	$396,904.65	$212,004.44	2026-05-13
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	14	14	—	—	$107,500.50	$120,400.56	$109,650.51	2026-05-13
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	14	14	—	—	$107,500.50	$120,400.56	$109,650.51	2026-05-13
426	OTHER	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	18	16	—	—	$108,566.00	$180,009.27	$111,280.16	2026-05-13
602-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	4	4	—	—	$109,563.52	$117,232.96	$113,179.11	2026-05-13
5	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	18	16	—	—	$110,369.32	$182,999.29	$113,128.55	2026-05-13
603-4	OTHER	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	4	4	—	—	$113,900.42	$121,873.45	$117,659.13	2026-05-13
2	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	18	16	—	—	$114,207.08	$189,362.52	$117,062.26	2026-05-13
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	14	14	—	—	$122,500.50	$137,200.56	$124,950.51	2026-05-13
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	14	14	—	—	$122,500.50	$137,200.56	$124,950.51	2026-05-13
161-1	OTHER	Implantable Heart Assist Systems	4	4	—	—	$123,134.72	$131,754.15	$127,198.17	2026-05-13
161-2	OTHER	Implantable Heart Assist Systems	4	4	—	—	$129,460.41	$138,522.64	$133,732.60	2026-05-13
001-4	OTHER	Liver Transplant And/or Intestinal Transplant	4	4	—	—	$129,535.48	$138,602.96	$133,810.15	2026-05-13
002-3	OTHER	Heart And/or Lung Transplant	4	4	—	—	$130,623.46	$139,767.10	$134,934.03	2026-05-13
007-4	OTHER	Allogeneic Bone Marrow Transplant	4	4	—	—	$133,615.15	$142,968.21	$138,024.45	2026-05-13
004-4	OTHER	Tracheostomy With Mv >96 Hours With Extensive Procedure	4	4	—	—	$134,969.36	$144,417.22	$139,423.35	2026-05-13
7	OTHER	Lung Transplant	18	16	—	—	$135,443.74	$224,574.26	$138,829.84	2026-05-13
14	OTHER	Allogeneic Bone Marrow Transplant	18	16	—	—	$135,785.75	$225,141.33	$139,180.40	2026-05-13
583-1	OTHER	Neonate With Ecmo	4	4	—	—	$137,045.23	$146,638.40	$141,567.72	2026-05-13
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	14	14	—	—	$137,500.50	$154,000.56	$140,250.51	2026-05-13
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	14	14	—	—	$137,500.50	$154,000.56	$140,250.51	2026-05-13
009-4	OTHER	Extracorporeal Membrane Oxygenation (ecmo)	4	4	—	—	$137,512.65	$147,138.54	$142,050.57	2026-05-13
1	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	40	28	$326,280.72	$84,832.99 74% off	$140,841.50	$484,044.07	$263,390.65	2026-05-13
588-2	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$144,198.66	$154,292.57	$148,957.22	2026-05-13
609-4	OTHER	Neonate Birth Weight 1500-2499 Grams With Major Procedure	4	4	—	—	$145,988.27	$156,207.45	$150,805.89	2026-05-13
631-4	OTHER	Neonate Birth Weight > 2499 Grams With Other Major Procedure	4	4	—	—	$147,676.79	$158,014.16	$152,550.12	2026-05-13
588-3	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$148,138.20	$158,507.88	$153,026.77	2026-05-13
591-4	OTHER	Neonate Birth Weight 500-749 Grams Without Major Procedure	4	4	—	—	$150,323.17	$160,845.79	$155,283.83	2026-05-13
593-4	OTHER	Neonate Birth Weight 750-999 Grams Without Major Procedure	4	4	—	—	$151,837.53	$162,466.16	$156,848.17	2026-05-13
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	14	14	—	—	$152,500.50	$170,800.56	$155,550.51	2026-05-13
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	14	14	—	—	$152,500.50	$170,800.56	$155,550.51	2026-05-13
841-4	OTHER	Extensive Third Degree Burns With Skin Graft	4	4	—	—	$153,007.58	$163,718.11	$158,056.83	2026-05-13
630-4	OTHER	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	4	4	—	—	$156,990.16	$167,979.48	$162,170.84	2026-05-13
011-4	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	4	4	—	—	$160,319.16	$171,541.50	$165,609.69	2026-05-13
161-3	OTHER	Implantable Heart Assist Systems	4	4	—	—	$161,433.16	$172,733.48	$166,760.45	2026-05-13
583-2	OTHER	Neonate With Ecmo	4	4	—	—	$169,230.17	$181,076.28	$174,814.77	2026-05-13
002-4	OTHER	Heart And/or Lung Transplant	4	4	—	—	$206,386.58	$220,833.64	$213,197.33	2026-05-13
161-4	OTHER	Implantable Heart Assist Systems	4	4	—	—	$213,037.56	$227,950.19	$220,067.80	2026-05-13
588-4	OTHER	Neonate Birth Weight < 1500 Grams With Major Procedure	4	4	—	—	$230,970.69	$247,138.63	$238,592.72	2026-05-13
583-3	OTHER	Neonate With Ecmo	4	4	—	—	$269,678.49	$288,555.99	$278,577.88	2026-05-13
583-4	OTHER	Neonate With Ecmo	4	4	—	—	$309,665.45	$331,342.03	$319,884.41	2026-05-13
18	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	18	16	—	—	$390,851.71	$648,056.76	$400,623.01	2026-05-13
9391	OTHER	Brexucabtagene Car Pos T	14	14	—	—	$488,051.51	$546,617.69	$497,812.54	2026-05-13
9035	OTHER	Axicabtagene Ciloleucel Car+	14	14	—	—	$489,517.15	$548,259.21	$499,307.49	2026-05-13
9413	OTHER	Lisocabtagene Car Pos T	14	14	—	—	$516,485.97	$578,464.29	$526,815.69	2026-05-13
9422	OTHER	Idecabtagene Vicleucel Car	14	14	—	—	$528,312.43	$591,709.92	$538,878.68	2026-05-13
9498	OTHER	Ciltacabtagene Car-pos T	14	14	—	—	$551,318.34	$617,476.54	$562,344.71	2026-05-13
9194	OTHER	Tisagenlecleucel Car-pos T	14	14	—	—	$565,623.84	$633,498.70	$576,936.32	2026-05-13
9141	OTHER	Inj Onase Abepar-xioi Treat	14	14	—	—	$2,403,458.75	$2,691,873.80	$2,451,527.93	2026-05-13
773	OTHER	Inj, Beqvez, Per Tx Dose	14	14	—	—	$3,710,000.00	$4,155,200.00	$3,784,200.00	2026-05-13
9138	OTHER	Inj, Hemgenix, Per Tx Dose	14	14	—	—	$3,710,000.00	$4,155,200.00	$3,784,200.00	2026-05-13

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